Individual
JANELLE E KIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13050 PARKSIDE DR STE 101, FISHERS, IN 46038-8247
(317) 621-2290
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007128A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003109
—
IN
Enumeration date
04/21/2017
Last updated
07/25/2025
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